- CVS Health (Atlanta, GA)
- …Coder) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required. + CPMA (Certified Professional Medical ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with… more
- Molina Healthcare (Augusta, GA)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more